THE ROAD TO BENEFITS BEGINS HERE

Accident Coverage from Allstate Benefits

Universal Life Insurance from Allstate Benefits

Indemnity Medical Coverage from Allstate Benefits

Critical Illness Insurance from Allstate Benefits

Disability Insurance from Allstate Benefits

VIDEOS • SUMMARIES • FORMS • CONTACTS • SIGN UP

BENEFIT VIDEOS

A brief video description of the benefits available.

To view any one of the videos above, click on the desired square's title.

SUMMARIES

PLAN SUMMARIES & DOCUMENTS

General Summaries

Medical Plan Summary
HSA Plan Summary

• HSA Frequently Asked Questions

• Diabetic Supplies Information

Dental Plan Summary

Vision Plan Summary

Flexible Spending Plan Summary

Basic Life Insurance

Voluntary Term Life Insurance

Long-Term Disability

Allstate Summaries

Accident Plan Brochure - Allstate

• Accident Benefit Insert/Rates

Critical Illness Brochure - Allstate

• Critical Illness Benefit Insert/Rates

FORMS

FORM & OTHER DOCUMENTS

General Forms

Medical Enrollment Form

Dental Enrollment Form

Vision Enrollment Form

Flexible Spending Enrollment Form

Basic Life Insurance Enrollment Form

Voluntary Life Enrollment Form

Short Term Disability Claim Form

Long Term Disability Claim Form

Allstate Claim Forms

Accident Plan Claim Form

Accident Plan Outpatient Claim Form

Critical Illness Claim Form

Critical Illness Wellness Claim Form

CONTACTS & IMPORTANT INFORMATION

CARRIER CONTACTS

Enrollment Call Center

877-282-0808

Monday-Friday | 7:00am-4:00pm CST

Health Plan

Member Service

Omaha and Toll-free . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-888-592-8961

TTY/TTD (for the hearing impaired) . . . . . . . . . . . . . . . . . . . .402-390-1888

Coordination of Benefits

Omaha. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .402-390-1840

Toll-free . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-800-462-2924

Certification

Omaha. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .402-390-1870

Toll-free . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-800-247-1103

BlueCard Provider Information

Toll-free . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-800-810-BLUE (2583)

Website . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . www.bcbs.com

Dental Plan - Ameritas

800-776-9446

Monday - Friday 7:00 a.m. to 5:00 p.m. CT

Fax: 402-309-2333

Find a Provider

VSP - Vision Plan

800-877-7195

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